Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801094550 | MI |
NPI | 1003153594 |
---|---|
Provider Name | Veronica Lynn Rothney |
First Address | Kalamazoo, MI 49007-5221 |
Second Address | Kalamazoo, MI 49007-5366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2013 |
Last Update Date | 09/10/2020 |